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Social Security & Health Benefits in Portugal

Information on the Portuguese national health care system, with details on who benefits and where and how to register with the authorities and what contributions and benefits to expect.

Social Security benefits only apply to Portuguese, European Union, and legally resident citizens in Portugal and their spouses and dependents. Citizens of other countries should seek advice from their Embassy or Consulate on private insurance.

All health and social security benefits are administered by the Social Security (Segurança Social).

Health Benefits

Anyone who has paid regular social security contributions in the EU for two full years before coming to Portugal is entitled to public health cover for a limited period from the date of their last social security contribution made in their home country.

The following forms and documents are required by the local office of the Social Security (Segurança Social):

  • E-106 & EHIC (the European Health Insurance Card from the country of origin)
  • E-121 & EHIC for pensioners (reformadas) from the country of origin
  • Passport (Passaporte)
  • National Insurance Contribution or Social Security from the country of origin
  • Tax Card or number from the country of origin
  • Identity Card from the country of origin

The EHIC Card entitles the patient to treatment in public hospitals including emergency dental treatment if on holiday, a student or temporarily resident for less than 180 days.

If the applicant has moved to Portugal to live and work, an electronic Social Security Card (Cartão de Segurança Social) will be issued, along with a list of GP health centres in their residential area (Centros do Saúde) and hospitals (Hospitais Públicos). 

Register at the nearest health centre to get a blue National Health Card (Cartão do Utente) and be assigned to a general doctor (Medico de Família). Treatment and essential medicines within the public health system are free, a small fee is charged for consultations at a health centre (Centros de Saúde). Any payments made to the public health system are tax deductible.

Social Security

To apply for a Social Security Card (Cartão de Segurança Social), contact the social security office in the area where you live.

  • To find the nearest social security office: Click here

The following documents will be needed when registering with social security:

  • Passport (Passaporte)
  • Identity Card (Bilhete de Identidade)
  • Tax Number/National Insurance Number in country of origin (Numero Fiscal de Contribuinte-NIF)
  • Residency Card (Cartão de Residência) (or evidence of application)
  • Proof of address in Portugal (Comprovativo de Morada)
  • Foreign Workers (Trabalhadores Estrangeiros) fill out Subscription Form RV1006/2003.DGSSS
    • To download Form RV1006/2003: Click here (in Portuguese) (PDF)
  • Self Employed Workers (Trabalhadores Independentes) fill out Subscription Form RV1000/2005.DGSSFC
  • Employees and employers (Trabalhadores por Conta de Outrem) fill out Subscription Form RV1009/2003.DGSSS known as a Declaration for the Commencement of Activity for a New Employer (Declaração de Início de Actividade)

Contributions

European Union citizens who have made social security contributions elsewhere in the EU may be covered under reciprocal agreements.

  • Fill out Form Mod CD0082-DGRSS (Requerimento de Transferência do Equivalente Actual do SS)
  • To download the Form: Click here (PDF)

Employees pay a percentage of their salary which varies from between ten and fifteen percent a month and the employer matches it with approximately twenty percent. The employer will fill out Form RV1009/2003.DGSSS (Declaração de Início de Actividade Profissional a Nova Entidade Empregadora), and the employee should sign it.

Self Employed workers currently pay between 24.5 and 32 percent per month. From 2007 a percentage must be deducted directly from the Green Receipt Book (Caderneta de Recibos Verdes) for each invoice issued. Payments will still be made on a monthly basis and any differences between payments and the final calculation will be reconciled at the end of the tax year. Fill out the form for self-employed workers (Inscrição Trabalhadores Independentes), RV1000/2005.DGSSFC

Social security affiliation is voluntary for self-employed workers whose gross yearly income is less than or equal to six times the national minimum wage, it is mandatory for those self-employed workers who earn more than six times the national minimum wage.

  • For a list of current contribution rates: Click here 

Payments must be made on or before the fourteenth of each calendar month, and can be made via the ATM Multibanco cash points (select Pagamentos ao Estado then Segurança Social and key in the details) or at the Post Office. Payments made after the sixteenth of the month are subject to interest.

Social Security Benefits

Maternity (Maternidade)

The law states that mothers can receive 100 percent of their salary or income for 120 days, 90 of which are to be taken after childbirth. Mothers can opt to take 150 days, with the extra 30 days being taken after childbirth. In this case she will receive 80 percent of her reference earnings.

  • Fill out Maternity Subsidy Form (Subsídios de Maternidade)
  • To download Form RP5007/2006: Click here (PDF)

Temporary Incapacity (Incapacidade Temporária)

Workers who have an accident and cannot work may claim Temporary Incapacity Benefit. Also those who are ill and are signed off by a doctor (em Baixa) for more than six months will receive 65 percent of their average salary by law.

  • To download Temporary Incapacity Form Mod 141.10 (Certificado de Incapacidade Temporária): Click here (PDF)
  • Fill out a Medical Declaration (Atestado Medico) and get it signed by a doctor or a medical specialist
  • To download an Accident Declaration Form Mod GIT37/2005 (Declaração de Acidente): Click here (PDF)

It may be possible to claim compensation for an accident at work:

  • To download Form Mod RP5003/2004 (Requerimento de Prestações Compensatórias): Click here (PDF)

Long term sickness (Invalidez)

Workers suffering from a chronic illness that means they cannot work (such as cancer, multiple sclerosis, AIDS, Parkinson's disease, etc.) may claim Incapacity Benefit (Invalidez) for a five-year period or three years.

  • Initially the incapacitated worker may claim Temporary Incapacity Benefit (Certificado de Incapacidade Temporária por Estado de Doença) Form Mod 141-10
  • After 1,095 days it will be necessary to fill out a Pedido de Pensão de Invalidez Form Mod CNP 501-458 which must include a declaration (Atestado do Medico) signed by a doctor or a medical specialist

Disability benefits (Incapacidade)

The amount of any benefit depends on the nature and severity of the disablement or incapacity and the ability to work, either full time or part time. Check with the local Social Security Office or consult the Social Security website

  • Fill out Incapacity Declaration Form Mod. CNP 501-590 (Declaração de Incapacidade)

Unemployment benefits (Subsídio de Desemprego)

Employees who are made redundant or involuntarily unemployed are entitled to receive unemployment benefit of at least 65 percent of their salary for 540 days for a period of 24 months (36 if a teacher) or 180 days in 12 months.

  • Fill in Form 5044 - Declaration of Unemployment Status (Declaração da Situação de Desemprego) within 90 days
  • For back and late Payments fill in Form GD018/2006 (Declaração de Retribuições em Mora)
  • Form RP5000/2000-DGSSS - Request for Unemployment Benefit (Requerimento das Prestações de Desemprego)

Self-employed workers are not entitled to Unemployment Benefit (Subsídio de Desemprego) if their business fails, but if they are unable to work because of serious illness and have paid Social Security contributions they may be entitled to Incapacity Benefit (Invalidez).

There is no system of Income Support in Portugal. Self employed people are recommended to take out private insurance.

Pension benefits (Pensão)

Those who have made sufficient social security payments in Portugal may be eligible for a Portuguese pension.

Those eligible for a foreign pension may receive it under bilateral agreements and still be eligible for a Portuguese pension.

  • To claim for an invalidity pension fill out Form Mod CNP 501-458 (Questionário/Pedido de Pensão de Invalidez e de Velhice a Organismo Estrangeiro) if National Insurance Contribution payments have been made in your country of origin
  • To claim for a pension fill out Form Mod CNP 600-587 (Requerimento de Pensão (Social))
  • Present Form E-121

It is compulsory to declare income from all pension sources – company, private pension plans, and state pensions from other countries, which may be liable to taxation.

  • Fill out Declaration to Holding Other Pensions Form Mod CNP 501-591 (Declaração de Titularidade de Outros Pensões)

The pension can be paid directly into a bank account:

  • Fill out a Bank Payment Request Form (Pedido de Pagamento de Pensão por Conta Bancária): Click here 

The Portuguese Social Security website has comprehensive information in English on pensions.

  • For further information from the Segurança Social: Click here
Further Information
  • Departamento de Acordos Internacionais de Segurança Social
    At: Rua da Junqueira No 112 Apartado 3072, 1300-344 Lisbon
    Tel: 213 652 300
    For information on bi-lateral agreements and accords
  • Elderly Citizen Help Line (Linha do Cidadão Idoso)
    Tel: 800 203 531
  • Disability Help Line (Linha Directa Cidadão/Deficiência)
    Tel: 217 959 545
  • Portuguese Social Security Association (Associação Portuguesa de Segurança Social)
    Tel: 218 470 632
  • In the UK, information regarding social security rights within the EU is provided in two booklets: Going abroad and Social Security Benefits (GL29), and Your Social Security Rights when Moving within the European Community (SA29), available from the Department of Social Security, Pensions and Overseas Benefits Directorate, Newcastle-Upon-Tyne, NE98 1BA, UK. Tel: 0191 218 7777.
  • EURES (the EU portal for living and working throughout the EU)

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